Me: Since how many years u have Diabetes?

Patient: Sir, I had ‘borderline diabetes’ since 5 years. Not on medicines, only diet. First time now, I have checked in yrs,sugars 220 (Fasting) 310 (after food)

What’s ‘borderline diabetes’ Thread. #PreDiabetes #Medtwitter (1/n)
What is #Prediabetes

When glucose levels don’t meet criteria for Diabetes but r still high to be considered normal. Includes

1. IFG - Impaired Fasting glucose - FPG 100-125 mg%

2. IGT (75 gm OGTT)- Impaired Glucose Tolerance - 2 hr PG 140-199 mg%

3. HbA1C - 5.7-6.4% (2/n)
#Prediabetes increases future risk of Diabetes and cardiovascular disease (CVD).

It may be a/w Obesity, Dyslipidemia (deranged cholesterol levels) and Hypertension (high blood pressure) (3/n)
Who should get tested for #Prediabetes or #Diabetes

Adults with overweight or obesity with

First degree relative w Diabetes
History of CVD
Hypertension (high BP)
HDL < 35 mg% or TG > 250 mg%
Women with PCOS
Physical inactivity
Insulin resistance association (4/n)
Once diagnosed with #Prediabetes you should check glucose levels at least once a year.

Women with #GDM (Gestational DM) should test lifelong at least every 3 years

For other patients testing should begin at age 45 years (5/n)
Diagnosed with #Prediabetes. What next?

#Lifestyle changes

Weight loss of 7-10% of initial body weight appropriate dietary changes and increase moderate intensity physical activity (at least 150 mins per week) Calorie restriction/ low carb diets plays an important role (6/n)
So, if you get a Fasting glucose tested, normal is upto 99 mg% or below. 100-125 mg% is Impaired FG and 126 mg% and above is #Diabetes. Similar numbers for 2 hr PG (75 gm glucose) are upto 139 mg% normal, 140-199 mg% IGT and 200 mg% and above is Diabetes. (7/7)

• • •

Missing some Tweet in this thread? You can try to force a refresh

Keep Current with Dr. Rahul Baxi

Dr. Rahul Baxi Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!


Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @baxirahul

8 Jul 20
In this thread I will mention precautions to be taken by #Diabetes patients in today’s scanario with #COVIDー19 #coronavirus #India #Mumbai (Ref IDF) @drmohanv @DrAmbrishMithal @AskDrShashank @docanoopmisra @Unnikri @DrDeepakKrishn1 @serioustaurean @DNeurosx @viswas_mr (1)
Recommendations for general public are doubly important for patients with #Diabetes & those living in their close contact 1.Wash hands thouroughly and regularly 2.Avoid touching face before washing and drying hands #COVIDー19 #coronavirus (2)
Clean and disinfect any objects & surfaces touched frequently (door handles, mobile phones, tv remotes). Don’t share towels, food, glasses. (3)
Read 13 tweets

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!